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This is VAERS ID 25561

History of Changes from the VAERS Wayback Machine

Already in VAERS on 12/31/2003

VAERS ID: 25561
VAERS Form:
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 12275 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, FEVER, LEUKOCYTOSIS, CSF ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 12/30/2006

VAERS ID: 25561 Before After
VAERS Form:
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-24
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II / MSD 12275 / - - / IM

Administered by: Private      Purchased by: Unknown
Symptoms: CONVULS, FEVER, LEUKOCYTOSIS, CSF ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S RBC''''S 6 WBC''S WBC''''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 12/8/2009

VAERS ID: 25561 Before After
VAERS Form:
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-24 1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MMR II MEASLES + MUMPS + RUBELLA (MMR II) / MSD MERCK & CO. INC. 12275 / - - / IM

Administered by: Private      Purchased by: Unknown Private
Symptoms: Convulsion, Leukocytosis, Pyrexia, CSF test abnormal, CONVULS, FEVER, LEUKOCYTOSIS, CSF ABNORM

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations:
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''''S RBC''S 6 WBC''''S WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 5/14/2017

VAERS ID: 25561 Before After
VAERS Form:
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / - - / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Leukocytosis, Pyrexia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 9/14/2017

VAERS ID: 25561 Before After
VAERS Form:(blank) 1
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / - UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Leukocytosis, Pyrexia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 2/14/2018

VAERS ID: 25561 Before After
VAERS Form:1
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Leukocytosis, Pyrexia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 6/14/2018

VAERS ID: 25561 Before After
VAERS Form:1
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Leukocytosis, Pyrexia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 8/14/2018

VAERS ID: 25561 Before After
VAERS Form:1
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Leukocytosis, Pyrexia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 9/14/2018

VAERS ID: 25561 Before After
VAERS Form:1
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Leukocytosis, Pyrexia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE


Changed on 10/14/2018

VAERS ID: 25561 Before After
VAERS Form:1
Age:1.3
Gender:Male
Location:New York
Vaccinated:1990-06-26
Onset:1990-07-06
Submitted:0000-00-00
Entered:1990-07-23
Vaccin­ation / Manu­facturer Lot / Dose Site / Route
MMR: MEASLES + MUMPS + RUBELLA (MMR II) / MERCK & CO. INC. 12275 / UNK - / IM

Administered by: Private      Purchased by: Private
Symptoms: Convulsion, Leukocytosis, Pyrexia, CSF test abnormal

Life Threatening? No
Birth Defect? No
Died? No
Permanent Disability? No
Recovered? Yes
Office Visit (V2.0)? No
ER or Office Visit (V1.0)? No
ER or ED Visit (V2.0)? No
Hospitalized? Yes, days:     Extended hospital stay? No
Previous Vaccinations: ~ ()~~~In patient
Other Medications: NONE
Current Illness:
Preexisting Conditions:
Allergies:
Diagnostic Lab Data: LUMBAR PUNCTURE - NEUTROPHILS IN CSF. CULTURE NEGATIVE. WBC 11,400 (69 POLYS, 9 BANDS) CSF 26 RBC''S 6 WBC''S (3 POLYS & 3 LYMPHS)
CDC 'Split Type':

Write-up: HAD VAC ON 6-26-90. ON 7-6-90, TEMP 105.5, HAD SZ X 10 MINUTES. ADMITTED TO HOSP. LP ABNORM (NEUTROPHILS IN CSF) CULTURE NEGATIVE. CHILD FINE

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